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These branches anastomose extensively with cutaneous branches of the network of arteries over wrist.

这些皮动脉与腕部动脉网的皮支间有广泛的交通与吻合。

Abstract] objective to discuss the influencing factors of healing up of anastomosis between traditional and morden ideas and question the more reasonable method of intestinal tract preparation in stage one operation.methods twenty-six patients with colon cancer were divided into 3 groups:colostomy group(8 cases),washing group (9 cases) and suction group (9 cases).all the patients underwent colectomy plus stage one anastomosis and exteriorization with different interoperative preparation with which we compared the healing up of anastomosis within the three groups.results there were 3 cases having fistula in the colostomy group (8 cases);one case in the washing group,but all the patients in the suction groups gained stage one healing up.conclusion as a method of emergency interoperative peparation,stool suction has a better healing up of anastomosis than colostomy and washing;it is advantageous to observe the healing up of anastomosis through colectomy plus stage one anastomosis and colon-outlying.

目的 探讨影响吻合口愈合因素的传统与现代观念并进一步探讨一期手术中更为合理的肠道准备方式。方法 26例降结肠癌分为造瘘组(8例)、冲洗组(9例)和粪便吸引组(9例)三组,术中分别采用3种不同方式行紧急肠道准备,所有病人均采用结肠切除一期吻合加外置的方法,对比观察三组病人的吻合口愈合情况。结果造瘘组(8例)有3例发生瘘,冲洗组有1例发生瘘,粪便吸引组全部一期愈合。结论粪便吸引作为一种术中紧急肠道准备方法,其吻合口愈合情况优于前两组;结肠一期吻合加外置的方法有利于观察吻合口的情况。

objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24~72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的:探讨外伤性十二指肠破裂的诊断和治疗方法。方法:回顾分析外伤性十二指肠破裂患者13例临床资料。结果:入院后3 h内确诊6例,24~72 h内确诊4例,72 h后确诊3例。3例行十二指肠裂口修补,2例行十二指肠造瘘,2例行十二指肠空肠roux-en-y吻合,1例行十二指肠憩室化手术,1例行改良十二指肠憩室化手术,1例行十二指肠两断端关闭、胃空肠吻合,1例行十二指肠远端关闭、近端与空肠端侧吻合,2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症,2例(15.4%)患者死亡,分别死于多器官系统衰竭和感染中毒性休克。结论:早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

In group A, the medial antebrachial cutaneous nerve was cut 5 mm away from its origin and its proximal end was anastomozed end-to-end to the distal end of musculocutaneous nerve. In group B, the musculocutaneous nerve was cut 5 mm away from its nerve entry point and the proximal end of medial antebrachial cutaneous nerve were anastomozed end-to-end to the distal end of musculocutaneous nerve. In group C, medial antebrachial cutaneous nerve and musculocutaneous nerve were cut, without further anastomosis.

每组大鼠左上肢制备实验模型,右上肢为正常对照,不作任何处理。A组:于距前臂内侧皮神经起点5 mm 处切断该神经,将其近端与切断的肌皮神经远端行无张力端端吻合;B 组:于距肌皮神经入肌点5 mm 处切断该神经,将其远端与切断的前臂内侧皮神经近端行无张力的端端吻合;C 组:切断肌皮神经和前臂内侧皮神经后不予吻合,形成肱二头肌失神经支配模型。

Then, anastomose extensor indicis proprius having vessel with distal branch proximal, anastomose deltal distal postenior interosseous having vessel with ulnar nerve deep branch through tunnal at fore-arm, Cutting self skin nerve for right length, anatomose distal posterior interosseous distant part with thenar branch through skin nerve cutted.

用带血管蒂的示指固有伸肌支与终末支近端吻合,将带血管蒂的骨间后神经终末支通过隧道在前臂掌侧与尺神经深支直接吻合;切取自体皮神经合适长度,将骨间后神经终末支远端通过切取的皮神经与鱼际肌支相吻合。

Methods:The incisional infection rates between the manual way (43 cases) in March 1998 and the anastomat way (59 cases) in March 2006 in the esophagogastrostomy after resection fo esophageal carcinoma were compared.

回顾分析我院1998年3月手工吻合43例与2006年3月器械吻合59例病人行食管癌切除食管胃吻合术,比较器械吻合组和手工吻合组术后切口感染率的发生。

The descending one is the continuing of dorsal branch, it crosses the ulnar edge of the fifth metecarpal bone and anastomizes with the digital artery of little finger or hypothenar branch of deep palmar (accounted for 70%).

降支为腕背支的延续,经第5掌骨尺侧缘直达掌骨头颈处与小指动脉尺侧支或掌深弓小鱼际支相吻合占70%;降支至豌豆骨附近变为纤细,由小指动脉尺侧支或掌深弓小鱼际支上行与之吻合占30%;吻合外径(0.5±0.1) mm。

That mingle and tally are perspection of the power which is development's pattern, management's renovation and exert a subtle influece on company .

交融与吻合,透视了企业的发展模式、管理革新以及潜移默化的力量。

RESULTS AND CONCLUSION: Among the 34 cases receiving conservative treatment, 2 got urinary tract infection repeatedly, and 5 got the stenosis of ureterovesical anastomotic stoma.

结果与结论:保守治疗34例中反复尿路感染2例,输尿管膀胱吻合口狭窄5例;手术治疗68例中输尿管与输尿管吻合狭窄2例,输尿管膀胱吻合口狭窄1例和输尿管逆流1例。

Basing on the setup of animal model of root avulsion of the brachial plexus, we divided the experimental animal into four groups by the operative method: Group A: one end of the maternal nerve graft was connected with the upper trunk of the healthy side by end-to-side neurorrhaphy, and the other end was sutured to the distal stump of musculocutaneous nerve infraclevicularly by end-to-end neurorrhaphy. Goup B: on the healthy side, the operation was the same, the other end was sutured to the distal end of C〓 by end-to-end neurorrhaphy on the affected side. Group C: the maternal nerve graft bridged the phrenic nerve and infraclevicular musculocutaneous nerve of the affected side by end-to-end neurorrhaphy. Group D: the phrenic nerve was sutured to the distal end of C〓 supraclevicularly by end-to-end neurorrhaphy.

在构建了模拟小儿臂丛神经根性撕脱伤的动物模型基础上,将实验动物按手术方式分组如下,A组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨下肌皮神经远端行端端吻合。B组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨上颈〓远端行端端吻合。C组:母鼠提供的的神经移植体桥接于子鼠患侧膈神经与锁骨下肌皮神经之间。D组:子鼠患侧膈神经直接与锁骨上颈〓远端行端端吻合。

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